diff --git a/MoltenVK/MoltenVK/API/mvk_datatypes.h b/MoltenVK/MoltenVK/API/mvk_datatypes.h
index f5c103b4..b0e2dac7 100644
--- a/MoltenVK/MoltenVK/API/mvk_datatypes.h
+++ b/MoltenVK/MoltenVK/API/mvk_datatypes.h
@@ -434,6 +434,12 @@ VkExtent2D mvkVkExtent2DFromCGSize(CGSize cgSize);
 /** Returns a CGSize that corresponds to the specified VkExtent2D. */
 CGSize mvkCGSizeFromVkExtent2D(VkExtent2D vkExtent);
 
+/** Returns a CGPoint that corresponds to the specified VkOffset2D. */
+CGPoint mvkCGPointFromVkOffset2D(VkOffset2D vkOffset);
+
+/** Returns a CGRect that corresponds to the specified VkRectLayerKHR. The layer is ignored. */
+CGRect mvkCGRectFromVkRectLayerKHR(VkRectLayerKHR vkRect);
+
 /** Returns a Metal MTLOrigin constructed from a VkOffset3D. */
 static inline MTLOrigin mvkMTLOriginFromVkOffset3D(VkOffset3D vkOffset) {
 	return MTLOriginMake(vkOffset.x, vkOffset.y, vkOffset.z);
diff --git a/MoltenVK/MoltenVK/GPUObjects/MVKQueue.mm b/MoltenVK/MoltenVK/GPUObjects/MVKQueue.mm
index c60cb011..96b34cc3 100644
--- a/MoltenVK/MoltenVK/GPUObjects/MVKQueue.mm
+++ b/MoltenVK/MoltenVK/GPUObjects/MVKQueue.mm
@@ -583,8 +583,12 @@ MVKQueuePresentSurfaceSubmission::MVKQueuePresentSurfaceSubmission(MVKQueue* que
 	const VkPresentTimesInfoGOOGLE* pPresentTimesInfo = nullptr;
 	const VkSwapchainPresentFenceInfoEXT* pPresentFenceInfo = nullptr;
 	const VkSwapchainPresentModeInfoEXT* pPresentModeInfo = nullptr;
+	const VkPresentRegionsKHR* pPresentRegions = nullptr;
 	for (auto* next = (const VkBaseInStructure*)pPresentInfo->pNext; next; next = next->pNext) {
 		switch (next->sType) {
+			case VK_STRUCTURE_TYPE_PRESENT_REGIONS_KHR:
+				pPresentRegions = (const VkPresentRegionsKHR*) next;
+				break;
 			case VK_STRUCTURE_TYPE_SWAPCHAIN_PRESENT_FENCE_INFO_EXT:
 				pPresentFenceInfo = (const VkSwapchainPresentFenceInfoEXT*) next;
 				break;
@@ -616,6 +620,10 @@ MVKQueuePresentSurfaceSubmission::MVKQueuePresentSurfaceSubmission(MVKQueue* que
 		pFences = pPresentFenceInfo->pFences;
 		MVKAssert(pPresentFenceInfo->swapchainCount == scCnt, "VkSwapchainPresentFenceInfoEXT swapchainCount must match VkPresentInfo swapchainCount.");
 	}
+	const VkPresentRegionKHR* pRegions = nullptr;
+	if (pPresentRegions) {
+		pRegions = pPresentRegions->pRegions;
+	}
 
 	VkResult* pSCRslts = pPresentInfo->pResults;
 	_presentInfo.reserve(scCnt);
@@ -630,6 +638,7 @@ MVKQueuePresentSurfaceSubmission::MVKQueuePresentSurfaceSubmission(MVKQueue* que
 			presentInfo.presentID = pPresentTimes[scIdx].presentID;
 			presentInfo.desiredPresentTime = pPresentTimes[scIdx].desiredPresentTime;
 		}
+		mvkSC->setLayerNeedsDisplay(pRegions ? &pRegions[scIdx] : nullptr);
 		_presentInfo.push_back(presentInfo);
 		VkResult scRslt = mvkSC->getSurfaceStatus();
 		if (pSCRslts) { pSCRslts[scIdx] = scRslt; }
diff --git a/MoltenVK/MoltenVK/GPUObjects/MVKSwapchain.h b/MoltenVK/MoltenVK/GPUObjects/MVKSwapchain.h
index 95bcb137..523a5807 100644
--- a/MoltenVK/MoltenVK/GPUObjects/MVKSwapchain.h
+++ b/MoltenVK/MoltenVK/GPUObjects/MVKSwapchain.h
@@ -99,6 +99,9 @@ public:
 	/** VK_GOOGLE_display_timing - returns past presentation times */
 	VkResult getPastPresentationTiming(uint32_t *pCount, VkPastPresentationTimingGOOGLE *pPresentationTimings);
 
+	/** Marks parts of the underlying CAMetalLayer as needing update. */
+	void setLayerNeedsDisplay(const VkPresentRegionKHR* pRegion);
+
 	void destroy() override;
 
 #pragma mark Construction
diff --git a/MoltenVK/MoltenVK/GPUObjects/MVKSwapchain.mm b/MoltenVK/MoltenVK/GPUObjects/MVKSwapchain.mm
index c52896d0..8be023fb 100644
--- a/MoltenVK/MoltenVK/GPUObjects/MVKSwapchain.mm
+++ b/MoltenVK/MoltenVK/GPUObjects/MVKSwapchain.mm
@@ -582,6 +582,30 @@ void MVKSwapchain::recordPresentTime(const MVKImagePresentInfo& presentInfo, uin
 	_presentHistoryIndex = (_presentHistoryIndex + 1) % kMaxPresentationHistory;
 }
 
+void MVKSwapchain::setLayerNeedsDisplay(const VkPresentRegionKHR* pRegion) {
+	if (!pRegion || pRegion->rectangleCount == 0) {
+		[_mtlLayer setNeedsDisplay];
+		return;
+	}
+
+	for (uint32_t i = 0; i < pRegion->rectangleCount; ++i) {
+		CGRect cgRect = mvkCGRectFromVkRectLayerKHR(pRegion->pRectangles[i]);
+#if MVK_MACOS
+		// VK_KHR_incremental_present specifies an upper-left origin, but macOS by default
+		// uses a lower-left origin.
+		cgRect.origin.y = _mtlLayer.bounds.size.height - cgRect.origin.y;
+#endif
+		// We were given rectangles in pixels, but -[CALayer setNeedsDisplayInRect:] wants them
+		// in points, which is pixels / contentsScale.
+		CGFloat scaleFactor = _mtlLayer.contentsScale;
+		cgRect.origin.x /= scaleFactor;
+		cgRect.origin.y /= scaleFactor;
+		cgRect.size.width /= scaleFactor;
+		cgRect.size.height /= scaleFactor;
+		[_mtlLayer setNeedsDisplayInRect:cgRect];
+	}
+}
+
 // A retention loop exists between the swapchain and its images. The swapchain images
 // retain the swapchain because they can be in flight when the app destroys the swapchain.
 // Release the images now, when the app destroys the swapchain, so they will be destroyed when
diff --git a/MoltenVK/MoltenVK/Layers/MVKExtensions.def b/MoltenVK/MoltenVK/Layers/MVKExtensions.def
index efa84e0f..a7c610dc 100644
--- a/MoltenVK/MoltenVK/Layers/MVKExtensions.def
+++ b/MoltenVK/MoltenVK/Layers/MVKExtensions.def
@@ -68,6 +68,7 @@ MVK_EXTENSION(KHR_get_physical_device_properties2,    KHR_GET_PHYSICAL_DEVICE_PR
 MVK_EXTENSION(KHR_get_surface_capabilities2,          KHR_GET_SURFACE_CAPABILITIES_2,         INSTANCE, 10.11,  8.0)
 MVK_EXTENSION(KHR_imageless_framebuffer,              KHR_IMAGELESS_FRAMEBUFFER,              DEVICE,   10.11,  8.0)
 MVK_EXTENSION(KHR_image_format_list,                  KHR_IMAGE_FORMAT_LIST,                  DEVICE,   10.11,  8.0)
+MVK_EXTENSION(KHR_incremental_present,                KHR_INCREMENTAL_PRESENT,                DEVICE,   10.11,  8.0)
 MVK_EXTENSION(KHR_maintenance1,                       KHR_MAINTENANCE1,                       DEVICE,   10.11,  8.0)
 MVK_EXTENSION(KHR_maintenance2,                       KHR_MAINTENANCE2,                       DEVICE,   10.11,  8.0)
 MVK_EXTENSION(KHR_maintenance3,                       KHR_MAINTENANCE3,                       DEVICE,   10.11,  8.0)
diff --git a/MoltenVK/MoltenVK/Vulkan/mvk_datatypes.mm b/MoltenVK/MoltenVK/Vulkan/mvk_datatypes.mm
index 23c567cc..caa77623 100644
--- a/MoltenVK/MoltenVK/Vulkan/mvk_datatypes.mm
+++ b/MoltenVK/MoltenVK/Vulkan/mvk_datatypes.mm
@@ -780,10 +780,15 @@ MVK_PUBLIC_SYMBOL VkExtent2D mvkVkExtent2DFromCGSize(CGSize cgSize) {
 }
 
 MVK_PUBLIC_SYMBOL CGSize mvkCGSizeFromVkExtent2D(VkExtent2D vkExtent) {
-	CGSize cgSize;
-	cgSize.width = vkExtent.width;
-	cgSize.height = vkExtent.height;
-	return cgSize;
+	return CGSizeMake(vkExtent.width, vkExtent.height);
+}
+
+MVK_PUBLIC_SYMBOL CGPoint mvkCGPointFromVkOffset2D(VkOffset2D vkOffset) {
+	return CGPointMake(vkOffset.x, vkOffset.y);
+}
+
+MVK_PUBLIC_SYMBOL CGRect mvkCGRectFromVkRectLayerKHR(VkRectLayerKHR vkRect) {
+	return { mvkCGPointFromVkOffset2D(vkRect.offset), mvkCGSizeFromVkExtent2D(vkRect.extent) };
 }